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    Ati rn adult medical surgical 2023 proctored exam

    Exhibits For each assessment finding, click to specify if the finding is consistent with diabetes, pancreatitis, or hyperthyroidism. Each client finding may support more than one disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.

    Explanation & Rationale

    Rationale: Change in weight: In uncontrolled diabetes due to the breakdown of fat and muscle when insulin is insufficient to utilize glucose effectively. Chronic pancreatitis can cause weight loss due to malabsorption of nutrients from pancreatic insufficiency and ongoing inflammation. Increased metabolic rate in hyperthyroidism causes the body to burn calories rapidly, often resulting in significant, unintentional weight loss. Blood glucose: A blood glucose level of 250 mg/dL is diagnostic of hyperglycemia and is strongly indicative of diabetes or poorly controlled blood glucose in a known diabetic. Inflammation of the pancreas can impair insulin production, leading to hyperglycemia, especially in chronic or severe pancreatitis. Current T3 level: A T3 level of 200 mg/dL is at the upper limit of normal. In the presence of other symptoms like weight loss and polyuria, it may support a diagnosis of hyperthyroidism or subclinical hyperthyroidism. Polyuria: High blood glucose levels exceed the renal threshold, leading to osmotic diuresis and frequent urination, a classic sign of diabetes. Increased metabolic activity and cardiac output in hyperthyroidism can lead to increased renal perfusion and mild diuresis, contributing to frequent urination.

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